Annexure-1Proforma for the post of Accounts Officer in NIDM (Southern Campus) ondeputation (ISTC basis) basis(1)Name and Address in Block Letters:(2)Date of Birth (in Christian Era):

(3)

(i)
(ii)(iii)(iv)Paste latestpassport sizephotographPresent Post Held:Name of the Organisationwhere posted:Date of entry into regularservice:Date of Superannuation:(4)Educational Qualifications:(5)Whether educational and other qualifications required for the post aresatisfied (If any qualification has been treated as equivalent to the oneprescribed in the rules, state the authority for the same):Qualifications / Experience required as Qualifications/Experiencementioned in the advertisement / vacancy possessed by the officercircular/ RRs(a) Officers of the Central Government orState Governments or Union territoryAdministrations (i) holding analogous post on regular basis;or(ii) worked for at least two years in the payband-2 of Rs.9300 - 34800 plus grade pay ofRs.4800;or(iii) has worked for at least three years in thepay band-2 of Rs.9300 - 34800 plus gradepay of Rs.4600; and(b) possessingqualifications:-anyoneoffollowing(i) has qualified the Subordinate AccountsService or equivalent examination conductedby any of the Organised AccountsDepartments of the Central Government;or(ii) successful completion of training in theCash and Accounts Work in the Institute ofSecretariat Training (ISTM) and Managementor equivalent and one year experience in cashaccounts and budget works.
(Add Additional Sheet if necessary)(6)Please state clearly whether in thelight of entries made by you above,you meet the requisite essentialqualifications and work experience ofthe post.

(7)Details of Employment, in chronological order. Enclose a separate sheet,duly authenticated by your signature, if the space below is insufficient.

Office/InstitutionPost Heldon regularbasisFrom

To* Pay Bandand GradePay / PayScale ofthe postheld onregularbasisNature ofduties (indetail)highlightingexperiencerequired forthe postapplied for* Important: Pay-Band and Grade Pay granted under ACP/ MACP are personal tothe officer and therefore, should not be mentioned. Only Pay Band and GradePay/Pay Scale of the post held on regular basis to be mentioned. Details ofACP/MACP with present Pay Band and Grade Pay where such benefits have beendrawn by the Candidate, may be indicated as below:Office/InstitutionPay, Pay Band andGrade Pay drawnunder ACP/ MACPSchemeFrom

To(8)Nature of present employment (i.e. Adhoc or temporary or quasi –permanent or permanent)(9)In case the present employment is held on deputation / contract basis,please state:Date of Initialappointment(10)Period ofappointment ondeputation /contractIf any post held on deputation by theapplication in the past, date of returnform the last deputation and otherdetails.

Name of theparent office/organization towhich theapplicant belongsName of the postand pay of thepost held insubstantivecapacity in thepresentorganization(11)Additional details about presentemployment:(a) Central Government(b) State Government(c) Autonomous Organization(d) Government undertaking(e) Universities(f) Others(12)Are you in the revised scale of Pay? If yes, give the date from which therevision took place and also indicate the pre-revised scale(13)Total emoluments per month now drawnBasic pay in the pay Band(14)Grade PayTotal EmolumentsIn case the applicant belongs to an organization which is not following theCentral Government pay scales, the latest salary slip issued by theorganization showing the following details may be enclosed:-Basic Pay with scale of payand rate of incrementDearness Pay/ interimrelief/ other allowances(with break-up details)Total emoluments(15)Additional Information, if any, relevant to the post you applied for in supportof your suitability for the post (Additional Academic qualificationsprofessional training, work experience over and above prescribed in theVacancy Circular/ Advertisement).

(16)Achievements:The Candidates are requested toindicate information with regard to :(i)(ii)(iii)(iv)(v)(vi)(17)Researchpublicationandreports and special projects.
Awards/ Scholarships / OfficialappreciationAffiliation with the professionalbodies/ institutions / societiesPatents registered in ownname or achieved for theorganizationAny research / innovativemeasureinvolvingofficialrecognition and;Any other informationWhether belongs to SC/ST.

I have carefully gone through the vacancy circular/ advertisement and I amwell aware that the information furnished in the Curriculum Vitae duly supported bythe documents in respect of Essential Qualification / Work Experience submitted byme will also be assessed by the Selection Committee at the time of selection for thepost. The information/details provided by me are correct and true to the best of myknowledge and no material fact having a bearing on my selection has beensuppressed/withheld.
Signature of the candidateName:_______________Office Address: ______________________________________________Telephone/Fax/Email:_______________________Date:Certification by the Employer/Cadre Controlling AuthorityThe information / details provided in the above application by the applicant are trueand correct as per the facts available on records. He / She possess educationalqualifications and experience mentioned in the vacancy circular. If selected, he / shewill be relieved immediately.
Also certified that:(i) There is no vigilance or disciplinary case pending/contemplated againstShri/Smt./Kum._________________________________________(ii) His/ Her integrity is certified.

(iii) His/ Her CR Dossier in original/photocopies of the ACRs for the last 5 yearsdulyattested by an officer of the rank of Under Secretary to the Government ofIndiaor above, are enclosed.
(iv) No major/minor penalty has been imposed on him/her during the last 10 years ora list of major/ minor penalties imposed on him/her during the last 10 years isenclosed (as the case may be).

Countersigned:(Employer/ Cadre Controlling Authority)Name in Block Letters:Designation:Office Seal:Email: